Individual ProviderKayla JankinsPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677(414) 649-3780(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Kayla Jankins is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1912422692Provider TypeIndividualFull NameJankins, KaylaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/3/2017Last Updated10/17/2024Contact InformationPractice LocationPractice Address2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677Phone(414) 649-3780Fax(414) 649-3794Mailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense4127WisconsinCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense4127-23WisconsinProvider IdentifiersIDDescriptionIssuerID100070210DescriptionMedicaidIssuerUnlistedWisconsin